Provider Demographics
NPI:1235507617
Name:BELL-MARKLEY, ALISHA (LPC)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:BELL-MARKLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 11TH ST
Mailing Address - Street 2:
Mailing Address - City:GREAT BEND
Mailing Address - State:KS
Mailing Address - Zip Code:67530-4511
Mailing Address - Country:US
Mailing Address - Phone:620-793-4926
Mailing Address - Fax:
Practice Address - Street 1:1819 11TH ST
Practice Address - Street 2:
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-4511
Practice Address - Country:US
Practice Address - Phone:620-603-6257
Practice Address - Fax:620-603-6259
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-02
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2961101YP2500X
KST-LPC 2791101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional